Tte w or without contr, cont ecg at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$2,405.40
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$4,009.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$674.37 with UPMC Health Plan vs $3,407.65 with Humana — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $674.37 | ↓ -72% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $775.68 | ↓ -68% |
| Aetna | Medicare | $775.83 | ↓ -68% |
| Aetna of PA | Medicare | $790.89 | ↓ -67% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $790.89 | ↓ -67% |
| United Healthcare Community Plan for Families | Unison Kids | $790.89 | ↓ -67% |
| United Healthcare | Medicare | $805.96 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicare | $813.41 | ↓ -66% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $813.49 | ↓ -66% |
| Cigna | Medicare | $813.49 | ↓ -66% |
| AmeriHealth Caritas | Medicare | $813.49 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,048.86 | ↓ -56% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,292.11 | ↓ -46% |
| United Healthcare | Compass Exchange | $1,322.97 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $1,367.07 | ↓ -43% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,413.44 | ↓ -41% |
| Aetna | Neighborhood Network | $1,483.33 | ↓ -38% |
| Aetna | Home Depot Employer Group | $1,531.44 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $1,559.50 | ↓ -35% |
| Cigna | NBR ASO/FI | $1,563.51 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,563.51 | ↓ -35% |
| Cigna | New Business ASO | $1,563.51 | ↓ -35% |
| United Healthcare | All Business | $1,563.51 | ↓ -35% |
| Cigna | EBR | $1,603.60 | ↓ -33% |
| Aetna | EBR ASO | $1,603.60 | ↓ -33% |
| Cigna | Commercial | $1,603.60 | ↓ -33% |
| UPMC Health Plan | CHIP | $2,025.80 | ↓ -16% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,204.95 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $2,204.95 | ↓ -8% |
| Aetna | EBR FI | $2,405.40 | ↑ +0% |
| InterGroup | PPO | $2,605.85 | ↑ +8% |
| Coventry/First Health | Commercial | $2,645.94 | ↑ +10% |
| UPMC Health Plan | Commercial | $2,714.57 | ↑ +13% |
| Health Coalition Partners | PPO | $2,806.30 | ↑ +17% |
| Private Health Care Systems | PPO | $3,207.20 | ↑ +33% |
| Prime Net | Commercial | $3,287.38 | ↑ +37% |
| Humana | Commercial | $3,407.65 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Tte w or without contr, cont ecg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,977.00 | $432.45 – $2,636.00 |
| UPMC Bedford | Everett | $1,876.20 | $271.77 – $2,814.30 |
| UPMC Community Osteopathic | Harrisburg | $1,905.60 | $591.94 – $2,699.60 |
| UPMC East | Monroeville | $2,577.00 | $436.57 – $3,436.00 |
| UPMC Hamot | Erie | $2,410.80 | $432.45 – $1,010.76 |
| UPMC Northwest | Seneca | $2,588.40 | $683.10 – $813.49 |
| UPMC Jameson | New Castle | $2,012.40 | $440.08 – $941.54 |
| UPMC Magee | Pittsburgh | $2,451.60 | $436.57 – $828.55 |